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AETNA AMBULANCE SERVICE, INC.

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Company Details

Entity Name: AETNA AMBULANCE SERVICE, INC.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 20 Aug 1965
Business ALEI: 0001065
Annual report due: 20 Aug 2025
Business address: 140 VAN BLOCK AVENUE, HARTFORD, CT, 06106, United States
Mailing address: P O BOX 1150, MANCHESTER, CT, United States, 06045
ZIP code: 06106
County: Hartford
Place of Formation: CONNECTICUT
Total authorized shares: 5000
E-Mail: karoh@asm-aetna.com

Industry & Business Activity

NAICS

621910 Ambulance Services

This industry comprises establishments primarily engaged in providing transportation of patients by ground or air, along with medical care. These services are often provided during a medical emergency but are not restricted to emergencies. The vehicles are equipped with lifesaving equipment operated by medically trained personnel. Learn more at the U.S. Census Bureau

Officer

Name Role Business address Residence address
GERALD BOISVERT Officer ONE STATE STREET, 19TH FLOOR, HARTFORD, CT, 06103, United States ONE STATE STREET, 19TH FLOOR, HARTFORD, CT, 06103, United States
DANIEL DELGALLO Officer 140 VAN BLOCK AVENUE, HARTFORD, CT, 06106, United States 140 VAN BLOCK AVENUE, HARTFORD, CT, 06106, United States
Heather Zimmerman Officer 140 VAN BLOCK AVENUE, HARTFORD, CT, 06106, United States 140 VAN BLOCK AVENUE, HARTFORD, CT, 06106, United States
KIMBERLY AROH Officer 140 VAN BLOCK AVENUE, HARTFORD, CT, 06106, United States 140 VAN BLOCK AVENUE, HARTFORD, CT, 06106, United States

Agent

Name Role
CORPORATION SERVICE COMPANY Agent

Director

Name Role Business address Residence address
DANIEL DELGALLO Director 140 VAN BLOCK AVENUE, HARTFORD, CT, 06106, United States 140 VAN BLOCK AVENUE, HARTFORD, CT, 06106, United States
Charles Johndro Director 100 Pearl ST, 2nd Floor, Hartford, CT, 06103, United States 100 Pearl ST, 2nd Floor, Hartford, CT, 06103, United States
GERALD BOISVERT Director ONE STATE STREET, 19TH FLOOR, HARTFORD, CT, 06103, United States ONE STATE STREET, 19TH FLOOR, HARTFORD, CT, 06103, United States
David Pierpont Director 140 VAN BLOCK AVENUE, HARTFORD, CT, 06106, United States 140 VAN BLOCK AVENUE, HARTFORD, CT, 06106, United States
KIMBERLY AROH Director 140 VAN BLOCK AVENUE, HARTFORD, CT, 06106, United States 140 VAN BLOCK AVENUE, HARTFORD, CT, 06106, United States

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
KWW9LYY7LVQ3
UEI Expiration Date:
2022-12-23

Business Information

Activation Date:
2021-11-25
Initial Registration Date:
2021-11-23

National Provider Identifier

NPI Number:
1194842781

Authorized Person:

Name:
MR. WAYNE ALFRED WRIGHT
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
3416L0300X - Land Ambulance
Is Primary:
Yes

Contacts:

Fax:
8606430759
Fax:
8607243384

License

Credential Credential type Status Status reason Issue date Effective date Expiration date
L.0L064P2 Licensed EMS Organization ACTIVE CURRENT 2017-01-03 2024-01-01 2024-12-31

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012315493 2024-08-13 - Annual Report Annual Report -
BF-0011080701 2023-08-22 - Annual Report Annual Report -
BF-0010346959 2022-07-28 - Annual Report Annual Report 2022
BF-0010455159 2022-01-14 2022-01-14 Mass Agent Change � Address Agent Address Change -
BF-0009810289 2021-10-01 - Annual Report Annual Report -

OSHA's Inspections within Industry

Inspection Summary

Date:
1992-07-23
Type:
Unprog Rel
Address:
1146 CROMWELL AVENUE, ROCKY HILL, CT, 06067
Safety Health:
Health
Scope:
Partial

Debts and Liens

Subsequent Filing No:
0005153923
Filing Type:
ORIG FIN STMT
Status:
Active
Type:
OFS
Filing Date:
2023-07-14
Lapse Date:
2028-07-14

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Sources: Company Profile on Connecticut's Official State Website

* While we strive to keep this information correct and up-to-date, it is not the primary source, and the dataset source should always be referred to for definitive information